Op, Opium

Nervous system

Apathy

• Apathetic depression / Torpidity

• Painlessness, Insensibility of the nervous system
• Stupor / Depression / Apathy / Great drowsiness (Gels, Nux-m)
• Torpor / General sluggishness / Profound coma / Inactivity as a general characteristic

• He wants nothing

Alternating states

• Op has alternating confusion and consciousness.
• It is a remedy with alternating state / Opposite states (Med)

Eyes

• Delirious talking + Wide open eyes
• Pupils Dilated / Insensible / Contracted
• Ptosis (Gels, Caust)

• Sleep apnea: Esp on going to sleep. He must be shaken to start it again (Grind)

Modalities

• Heat agg
• Agg during and after sleep (Apis, Lach)
• Better by cold things
• Amel by constant walking
• Diseases that originate from fright. (Vertigo/ Menses suppression )
  • Looks intoxicated/ Besotted (Bapt, Lach)
  • Occiput headache (Gels)

CVA

• Consider Alum and Op in stroke with confusion and cerebral congestion.
• Op is the main remedy. Alum, Phos, Plb complete the cerebral effects of OP in stroke (Alum ₳ Op)
• Painless paralysis (Oleand)
• Limb paralysis: Unilateral paralysis of the limbs, esp right

  EXTREMITIES - PARALYSIS - hemiplegia - right

Cranial nerve palsy

• Eyelids, esp upper eyelid/ Ptosis
• Optic neuritis
• Auditory nerve
• Anosmia
• Face palsy, esp the lower jaw, as if saliva is flowing from the side of the lips
• Tongue stretched to the left or right
• Difficult speech due to paralysis of the mouth or vocal cords
• Dysphagia
• Ptosis

Sympathetic / Parasympathetic paralysis

• Fecal incontinence (Rectal paralysis, Sphincter)
• Heart, lungs
• Diaphragm paralysis caused by PLV

Neurogenic bladder

• Bladder paralysis, esp sphincter and bladder neck (Caust, Alum) (Op ₳ Stram)
• The main remedy for urinary retention caused by bladder paralysis
• Urinary incontinence
• Scanty, Dark and Turbid (a lot of sediment) urine
• Intermittent urination due to bladder neck spasm
• Bladder pain with a feeling of fullness and desire to defecate but cannot urinate.
• Retention of urine as a result from fright or following parturition.
• Weak urination
• Micturition only after long exertion.
• Retention of urine + Full bladder
  • The bladder is full, but he does not feel it
  • Esp after Delivery or Tobacco
  • Urethra cutting pain, when he goes to the toilet he has to wait a long time for urine to come out.

Constipation

• Obstinate constipation; No desire to go to stool, Want of sensibility (Alum ₳ Op)
• Feces protrude and recede (Thuj, Sil)
• Hard, dark brown, small pieces. (Bry ₳ Op), (Op ₳ Plb)
• Constipation due to abuse of enemas.
• Intestinal obstruction with fecal vomiting + violent colic.
• Intestinal sluggish so that the strongest purgatives lose their power.
• Bowel inactivity due to cerebral complications esp in old people
• Retention of stools because of intestinal paresis.
• Constipation + Colic due to pressure of a gravid uterus or abdominal tumor.

Abdomen

• The abdomen is distended but has no power to expel its contents.
• Painful flatulence in upper part of the bowels

Paralytic Ileus

• Esp after Abdominal surgery / Laparotomy
• Hard/ Bloated / Tympanitic abdomen

Others

Children

• OP is a child who has experienced drowsiness, narcolepsy,
• Withdrawal experiences
• Feelings of threat following panic.
• Op is a liar and likes to hide things
• Spasms from fright
• Tetanic rigidity starts in with a loud shriek, foaming at mouth, Dark / Red face + Hot sweat, then follows with Deep snoring sleep

Typhoid Fever / States

• Profound congestion resulting from cerebral paralysis
• Loud stertorous breathing
• Dropping of the lower jaw
• Paralysis of the sweat glands
• Involuntary stools
• Perspiring body is burning hot
• Lach is a good DD for Op esp in Typhoid fever with threatened paralysis of the brain.

Cholera infantum

• Fatally advancing stupor, pupils sluggish
• The disease involves the brain, child appears as if it had been drugged
• Diarrhea
• Op will restore consciousness

Cough

• Spasmodic dry cough
• Esp tormenting at night with scanty expectoration, which prevent sleep
• Never give Op in cough with profuse expectoration
• Hoarseness with dry mouth and throat
• Slow full pulse.
• Suppuration of the lungs in those addicted to intoxicating liquors, the face is blue during cough.

Skin

• Very troublesome itching all over, redness, skin hot and damp or sweating.
• Sudden retrocession of acute eruptions, paralysis of the brain setting in, convulsions, nervousness and diarrhea.

Fever

• Intermittent fever, drowsiness during chill, stupidity as fever comes on, unconsciousness.
• Puerperal fever from fright.
• Shaking chill with deep soporous sleep.
• Complains that the bed is too hot, bed feels so hot he cannot lie on it.

Miasms

1. FFI
2. TBE, STLE, JE
3. RBS, PLV, EEE/ WEE

DDs

Lach

• Illusion of snakes, hideous objects
• Throat symptoms such as choking
• Spring out of sleep suddenly as if he had a dream

Cann-i

• Errors in time and space, things at the other end of the room seem thousands of miles off and it seems as it it would take days to walk there( A minute seems a thousand years
• They say they have not had any thing to eat for days even five minutes after eating.

Ars

• Fear of death and do not want to be left alone.

Calc

• The minute the eyes are closed vision are seen, compelling them to keep the eyes open.

Rubrics

• MIND - HIDING - himself - old people, in
• MIND - UNCONSCIOUSNESS - cheyne-Stokes respiration; with
• MIND - FACE - hot; with face op